Tyler Gregory Lusignan, PT

NPI #1225511462 in Jefferson, Louisiana

Provider Information

NPI Number: 1225511462
Entity Type: Individual
Name: Tyler Gregory Lusignan, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 13, 2018
Last Updated: Sep 13, 2018

Practice Location

Address: 101 RIVER RD STE 112
City: Jefferson
State: Louisiana
ZIP Code: 70121-4226
Phone: (504) 828-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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